Saglam F, Saglam S, Gulabi D, Eceviz E, Elmali N, Yilmaz M. Bilateral clavicle osteomyelitis: A case report.
Int J Surg Case Rep 2014;
5:932-5. [PMID:
25460439 PMCID:
PMC4275825 DOI:
10.1016/j.ijscr.2014.10.056]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Revised: 10/13/2014] [Accepted: 10/13/2014] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION
Osteomyelitis of the clavicle is rare. Infection occurs from hematogenous spread or trauma. In adults infection is usually secondary due to an exogenous cause such as open fractures, surgery (iatrogenic) or spread from local tissue with infection.
PRESENTATION OF CASE
The case is presented here of a 50-year old female with bilateral clavicular fractures, who was operated on with open reduction and internal fixation. At the 6-month follow-up, she had complaints of bilateral osteomyelitis which was successfully treated with resection of the infected segment of the bone, and antibiotic impregnated collagen.
DISCUSSION
Predisposing factors include diabetes, intravenous drug abuse, tuberculosis or immune suppression. Management involves the removal of bone fixation, debridement of the bone and if there is a defect, coverage with a muscle flap is applied.
CONCLUSION
In cases of clavicular osteomyelitis where infection continues despite debridement and antibiotic therapy, excision of the sequestered clavicular section is a successful treatment approach and has been seen to improve quality of life without any functional loss.
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